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CITY OF SANTA ANA <br />PROJECT NO. 11 -6406: CONCRETE STREET WATER MAIN IMPROVEMENTS <VARIOUS <br />LOCATIONS) <br />PROPOSAL AND CONTRACT AGREEMENT <br />CONTRACTOR'S LICENSING STATEMENT <br />The undersigned contractor, or corporate officer, declazes under penalty of perjury that the <br />following is true and correct. <br />Contractor's Name: �CA1Jp� �1'QLL�r -►� � 1 ti.i L <br />Business Address: � (�3q �', jni�Vp r.ni� 6.�/1�ti�E 'P�,�„Gb�- sT"1A� GL� G2�-7p <br />Telephone: � 1 �{-� G $ C� - I �}d0 <br />State Contractor's <br />License No. 8z <br />class: �{- C� 1 4 `� � <br />Expiration Date: <br />Signed: <br />Title: <br />o�E� 3-0 � ao�2 L, � <br />1�P -mss CD��T- ' <br />BP 13 OF 13 <br />